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Iowa rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $35.96 / $111.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.89 / $70.89 / $76.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $45.79 / $66.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.27 / $73.42 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $49.02 / $68.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $50.94 / $1,816.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.99 / $43.34 / $69.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.99 / $45.00 / $69.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.10 / $64.80 / $82.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $66.27